ANDREW HENRY VAN BERGEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107433

License Status

ACTIVE

Business

First Name

ANDREW

Middle

HENRY

Last Name

VAN BERGEN

Suffix

Business Name

ANDREW HENRY VAN BERGEN MD

Original Issue Date

07/11/2002

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

07/29/2023